[Diagnostic imaging in liver transplantation. Preoperative evaluation and postoperative complications].

T Schroeder, S G Ruehm
Author Information
  1. T Schroeder: Institut für Diagnostische & Interventionelle Radiologie, Universitätsklinikum, Essen. Tobias.Schroeder@uni-essen.de

Abstract

Complimentary to orthotopic liver transplantation (OLT), living donor liver transplantation (LDLT) is increasingly considered a therapeutic option in the therapy of end-stage liver disease. Accurate pre- and postoperative imaging is crucial for the transplantation success and represents an established part of the current evaluation algorithms. This article summarizes the most important requirements and the current imaging standards. Preoperative imaging is important for exclusion of transplantation contraindications in the recipient and for reliable assessment of anatomical variants in the donor. The main purpose of postoperative imaging is the early detection and characterization of complications. In both instances, multislice CT currently represents the most versatile and reliable imaging modality, still superior to MRI. For postoperative follow-up, the imaging modality of first choice is still bedside ultrasound; however, unclear findings usually need to be further assessed by CT.

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MeSH Term

Angiography, Digital Subtraction
Bile Ducts, Intrahepatic
Cholangiopancreatography, Endoscopic Retrograde
Contrast Media
Diagnostic Imaging
Hepatectomy
Hepatic Artery
Humans
Liver
Liver Abscess
Liver Failure
Liver Transplantation
Living Donors
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Organ Size
Postoperative Complications
Preoperative Care
Sensitivity and Specificity
Tissue and Organ Harvesting
Tomography, X-Ray Computed
Ultrasonography

Chemicals

Contrast Media

Word Cloud

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